6533b854fe1ef96bd12ae0e9

RESEARCH PRODUCT

Unusual manifestation of an osteoid osteoma of the capitate.

K.-f. KreitnerR. LöwA. Mayer

subject

musculoskeletal diseasesOsteoid osteomaAdultGadolinium DTPAMalemedicine.medical_specialtyOsteoma OsteoidContrast MediaBone NeoplasmsWrist painWristCapitate bonemedicineHumansRadiology Nuclear Medicine and imagingCarpal BonesNeuroradiologymedicine.diagnostic_testbusiness.industryGranulation tissueMagnetic resonance imagingGeneral MedicineAnatomymedicine.diseaseMagnetic Resonance Imagingbody regionsCarpal bonesmedicine.anatomical_structureRadiologymedicine.symptombusiness

description

A case of osteoid osteoma of the capitate in a 29-year-old male is reported. The patient suffered from unspecific clinical findings and a 3-year history of uncharacteristic wrist pain. Conventional radiographs of the wrist revealed a circumscribed sclerosis in the proximal part of the capitate bone beside a diffuse demineralisation of the carpal bones. Magnetic resonance imaging demonstrated a circumscribed, tumorous lesion with marked enhancement after IV administration of contrast agent and a highly calcified nidus, which was sharply demarcated by a small rim of granulation tissue from the surrounding spongious bone. Based on MRI findings, the diagnosis of an osteoid osteoma was established and confirmed after operation and histologic analysis.

10.1007/s003300050797https://pubmed.ncbi.nlm.nih.gov/10415241